Individual provider Active NPI

Sarah Opuroku

  • School Psychologist
  • Avondale, AZ
National Provider Identifier
1356644405
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
4282189 Issued in AZ
Practice address
235 W Western Ave
Avondale, AZ 85323-1848
Phone
(623) 772-4300
NPI assigned
Dec 13, 2010
Last updated
Dec 13, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 4282189 AZ Primary

Addresses

Primary practice location

235 W Western Ave
Avondale, AZ 85323-1848

Mailing address

235 W Western Ave
Avondale, AZ 85323-1848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201110000421 AZ Practitioner - Clinical Psychologist 4183034705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

2120 S McClintock Dr
Suite 105
Tempe, AZ 85282-2692
Phone (480) 804-0326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4282189AZMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Crisis Preparation and Recovery, Inc CurrentSince Jan 21, 2026 Accepting new patients

Locations

2120 S McClintock Dr
Ste 105
Tempe, AZ 85282

Interoperability endpoints

  • Direct secure messaging: sarah.opuroku.1@11818.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1356644405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W WESTERN AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W WESTERN AVE",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231848",
            "telephone_number": "623-772-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPUROKU",
        "first_name": "SARAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "AZ",
            "license": "4282189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.